ICD-10-CM 2027 diagnosis code
W18.4Slipping, tripping and stumbling without falling
W18.4 is a header code, so it can't be reported by itself. Choose one of the 5 more specific codes beneath it and add the required 7th character.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About W18.4
W18.4 is the ICD-10-CM diagnosis code for slipping, tripping and stumbling without falling. It belongs to category W18 (other slipping, tripping and stumbling and falls), block W00-W19 (slipping, tripping, stumbling and falls) and chapter 20 (external causes of morbidity). It is a header code, so it can't be reported by itself; one of its 5 subcodes must be used instead.
Within W18, choose W18.4 (Slipping, tripping and stumbling without falling) only when documentation doesn't support a more specific option: fall due to bumping against object (W18.0), fall from or off toilet (W18.1), fall in (into) shower or empty bathtub (W18.2) and other and unspecified fall on same level (W18.3).
Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.
Don't report W18.4 together with the conditions in its Excludes1 note: collision with another person without fall (W51).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
7th character
The appropriate 7th character is to be added to each code from category W18
- W18.40Slipping, tripping and stumbling without falling, unspecified
- W18.41Slipping, tripping and stumbling without falling due to stepping on object
- W18.42Slipping, tripping and stumbling without falling due to stepping into hole or opening
- W18.43Slipping, tripping and stumbling without falling due to stepping from one level to another
- W18.49Other slipping, tripping and stumbling without falling
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Coding notes
- collision with another person without fall (W51)
Notes that apply from higher levels
Instructions written at a parent level also apply to W18.4.
Broader instructions also apply from W00-W19 Slipping, tripping, stumbling and falls and Chapter 20: External causes of morbidity.
Codes whose notes reference W18.4
- W01Excludes1
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about W18.4
Is W18.4 billable?
- No. W18.4 is a header code. Report one of its more specific subcodes instead.